Provider Demographics
NPI:1912145574
Name:YONEMOTO, LAURIE ALICE (MD)
Entity type:Individual
Prefix:DR
First Name:LAURIE
Middle Name:ALICE
Last Name:YONEMOTO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 ALA MOANA BLVD STE 1B
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-4902
Mailing Address - Country:US
Mailing Address - Phone:808-295-4080
Mailing Address - Fax:
Practice Address - Street 1:500 ALA MOANA BLVD STE 1B
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-4902
Practice Address - Country:US
Practice Address - Phone:808-295-4080
Practice Address - Fax:808-295-4080
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-04
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-25227207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty